Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $15,848.93 / $31,622.78	Facility		$1,737.80	$15,848.93	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,548.82	Professional		$1,096.48	$1,096.48	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $14,125.38 / $23,988.33	Facility		$5,128.61	$14,125.38	$23,988.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $14,125.38 / $14,125.38	Facility		$2,754.23	$14,125.38	$14,125.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $5,128.61	Facility		$2,454.71	$3,630.78	$5,128.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $5,495.41	Professional		$2,691.53	$3,388.44	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $33,884.42	Facility		$2,884.03	$17,782.79	$33,884.42